Cigarette smoking and risk of ovarian cancer: a pooled analysis of 21 case–control studies
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  • 作者:Mette T. Faber (1)
    Susanne K. Kj?r (1) (2)
    Christian Dehlendorff (3)
    Jenny Chang-Claude (4)
    Klaus K. Andersen (3)
    Estrid H?gdall (1) (5)
    Penelope M. Webb (6)
    Susan J. Jordan (6)
    Mary Anne Rossing (8) (9)
    Jennifer A. Doherty (10) (8)
    Galina Lurie (11)
    Pamela J. Thompson (11)
    Michael E. Carney (11)
    Marc T. Goodman (11)
    Roberta B. Ness (12)
    Francesmary Modugno (13)
    Robert P. Edwards (14)
    Clareann H. Bunker (15)
    Ellen L. Goode (16)
    Brooke L. Fridley (17)
    Robert A. Vierkant (17)
    Melissa C. Larson (17)
    Joellen Schildkraut (18) (19)
    Daniel W. Cramer (20)
    Kathryn L. Terry (21)
    Allison F. Vitonis (20)
    Elisa V. Bandera (21)
    Sara H. Olson (22)
    Melony King (23)
    Urmila Chandran (21)
    Lambertus A. Kiemeney (24) (25) (26)
    Leon F. A. G. Massuger (27)
    Anne M. van Altena (27)
    Sita H. Vermeulen (24)
    Louise Brinton (28)
    Nicolas Wentzensen (28)
    Jolanta Lissowska (29)
    Hannah P. Yang (28)
    Kirsten B. Moysich (30)
    Kunle Odunsi (31)
    Karin Kasza (30)
    Oluwatosin Odunsi-Akanji (30)
    Honglin Song (32)
    Paul Pharaoh (32)
    Mitul Shah (32)
    Alice S. Whittemore (33)
    Valerie McGuire (33)
    Weiva Sieh (33)
    Rebecca Sutphen (34)
    Usha Menon (35)
    Simon A. Gayther (36)
    Susan J. Ramus (37)
    Aleksandra Gentry-Maharaj (35)
    Celeste Leigh Pearce (36)
    Anna H. Wu (36)
    Malcolm C. Pike (22) (36)
    Harvey A. Risch (37)
    Allan Jensen (1)
  • 关键词:Case–control studies ; Histological type ; Ovarian neoplasms ; Smoking
  • 刊名:Cancer Causes and Control
  • 出版年:2013
  • 出版时间:May 2013
  • 年:2013
  • 卷:24
  • 期:5
  • 页码:989-1004
  • 全文大小:472KB
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  • 作者单位:Mette T. Faber (1)
    Susanne K. Kj?r (1) (2)
    Christian Dehlendorff (3)
    Jenny Chang-Claude (4)
    Klaus K. Andersen (3)
    Estrid H?gdall (1) (5)
    Penelope M. Webb (6)
    Susan J. Jordan (6)
    Mary Anne Rossing (8) (9)
    Jennifer A. Doherty (10) (8)
    Galina Lurie (11)
    Pamela J. Thompson (11)
    Michael E. Carney (11)
    Marc T. Goodman (11)
    Roberta B. Ness (12)
    Francesmary Modugno (13)
    Robert P. Edwards (14)
    Clareann H. Bunker (15)
    Ellen L. Goode (16)
    Brooke L. Fridley (17)
    Robert A. Vierkant (17)
    Melissa C. Larson (17)
    Joellen Schildkraut (18) (19)
    Daniel W. Cramer (20)
    Kathryn L. Terry (21)
    Allison F. Vitonis (20)
    Elisa V. Bandera (21)
    Sara H. Olson (22)
    Melony King (23)
    Urmila Chandran (21)
    Lambertus A. Kiemeney (24) (25) (26)
    Leon F. A. G. Massuger (27)
    Anne M. van Altena (27)
    Sita H. Vermeulen (24)
    Louise Brinton (28)
    Nicolas Wentzensen (28)
    Jolanta Lissowska (29)
    Hannah P. Yang (28)
    Kirsten B. Moysich (30)
    Kunle Odunsi (31)
    Karin Kasza (30)
    Oluwatosin Odunsi-Akanji (30)
    Honglin Song (32)
    Paul Pharaoh (32)
    Mitul Shah (32)
    Alice S. Whittemore (33)
    Valerie McGuire (33)
    Weiva Sieh (33)
    Rebecca Sutphen (34)
    Usha Menon (35)
    Simon A. Gayther (36)
    Susan J. Ramus (37)
    Aleksandra Gentry-Maharaj (35)
    Celeste Leigh Pearce (36)
    Anna H. Wu (36)
    Malcolm C. Pike (22) (36)
    Harvey A. Risch (37)
    Allan Jensen (1)

    1. Unit of Virus, Lifestyle and Genes, Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark
    2. Gynecologic Clinic, Copenhagen University Hospital, Copenhagen, Denmark
    3. Unit of Statistics, Bioinformatics and Registry, Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark
    4. Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany
    5. Molecular Unit, Department of Pathology, Herlev University Hospital, University of Copenhagen, Copenhagen, Denmark
    6. Population Health Department, Queensland Institute of Medical Research, Brisbane, Australia
    8. Program in Epidemiology, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
    9. Department of Epidemiology, University of Washington, Seattle, WA, USA
    10. Department of Community and Family Medicine, Section of Biostatistics and Epidemiology, The Geisel School of Medicine at Dartmouth, Lebanon, NH, USA
    11. Epidemiology Program, University of Hawaii Cancer Center, Honolulu, HI, USA
    12. School of Public Health, University of Texas, Houston, TX, USA
    13. Division of Gyn/Onc, Department of Ob/Gyn/RS, School of Medicine and Department of Epidemiology, Graduate School of Public Health, Ovarian Cancer Center of Excellence, Women’s Cancer Program, Magee-Women’s Research Institute, University of Pittsburgh Cancer Institute, University of Pittsburgh, Pittsburgh, PA, USA
    14. Division of Gyn/Onc, Department of Ob/Gyn/RS, and Ovarian Cancer Center of Excellence, University of Pittsburgh, Pittsburgh, PA, USA
    15. Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
    16. Division of Epidemiology, Department of Health Science Research, Mayo Clinic College of Medicine, Rochester, MN, USA
    17. Division of Biomedical Statistics and Informatics, Department of Health Science Research, Mayo Clinic, Rochester, MN, USA
    18. Department of Community and Family Medicine, Duke University Medical Center, Durham, NC, USA
    19. Cancer Prevention, Detection & Control Research Program, Duke Cancer Institute, Durham, NC, USA
    20. Obstetrics and Gynecology Epidemiology Center, Brigham and Women’s Hospital, Boston, MA, USA
    21. Robert Wood Johnson Medical School, The Cancer Institute of New Jersey, New Brunswick, NJ, USA
    22. Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
    23. UMDNJ-School of Public Health, Piscataway, NJ, USA
    24. Department of Epidemiology, Biostatistics and HTA, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    25. Department of Urology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    26. Comprehensive Cancer Center, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    27. Department of Gynecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    28. Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
    29. Department of Cancer Epidemiology and Prevention, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland
    30. Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, USA
    31. Department of Gynecological Oncology, Roswell Park Cancer Institute, Buffalo, NY, USA
    32. Strangeways Research Laboratory, Department of Oncology, University of Cambridge, Cambridge, UK
    33. Department of Health Research and Policy, Epidemiology, Stanford University School of Medicine, Stanford, CA, USA
    34. Epidemiology Center, College of Medicine, University of South Florida, Tampa, FL, USA
    35. Womens Cancer, EGA Institute for Women’s Health, University College London, London, UK
    36. Department of Preventive Medicine, Keck School of Medicine, University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA, USA
    37. Department of Epidemiology and Public Health, Yale University School of Public Health and School of Medicine, New Haven, CT, USA
  • ISSN:1573-7225
文摘
Purpose The majority of previous studies have observed an increased risk of mucinous ovarian tumors associated with cigarette smoking, but the association with other histological types is unclear. In a large pooled analysis, we examined the risk of epithelial ovarian cancer associated with multiple measures of cigarette smoking with a focus on characterizing risks according to tumor behavior and histology. Methods We used data from 21 case–control studies of ovarian cancer (19,066 controls, 11,972 invasive and 2,752 borderline cases). Study-specific odds ratios (OR) and 95?% confidence intervals (CI) were obtained from logistic regression models and combined into a pooled odds ratio using a random effects model. Results Current cigarette smoking increased the risk of invasive mucinous (OR?=?1.31; 95?% CI: 1.03-.65) and borderline mucinous ovarian tumors (OR?=?1.83; 95?% CI: 1.39-.41), while former smoking increased the risk of borderline serous ovarian tumors (OR?=?1.30; 95?% CI: 1.12-.50). For these histological types, consistent dose–response associations were observed. No convincing associations between smoking and risk of invasive serous and endometrioid ovarian cancer were observed, while our results provided some evidence of a decreased risk of invasive clear cell ovarian cancer. Conclusions Our results revealed marked differences in the risk profiles of histological types of ovarian cancer with regard to cigarette smoking, although the magnitude of the observed associations was modest. Our findings, which may reflect different etiologies of the histological types, add to the fact that ovarian cancer is a heterogeneous disease.

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